Form C021.001 - Articles Of Domestication - Nonprofit Corporation

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DO NOT WRITE ABOVE THIS LINE; RESERVED FOR ACC USE ONLY.
ARTICLES OF DOMESTICATION
NONPROFIT CORPORATION
Read the Instructions
C021i
NOTE -
If the corporation filing these Articles is authorized in Arizona as a foreign corporation,
check this box
and provide the A.C.C. file number:__________________________
,
1.
ENTITY NAME –
see Instructions C021i
for naming requirements – give the exact name of the
corporation:
_______________________________________________________________________
STATE OR COUNTRY OF ORIGINAL INCORPORATION: _____________________________
2.
3.
DATE OF ORIGINAL INCORPORATION: _______________________________________
4.
CHARACTER OF AFFAIRS –
briefly describe the character of affairs the corporation initially intends to conduct in
Arizona. NOTE that the character of affairs that the corporation ultimately conducts is not limited by the description
provided.
_______________________________________________________________________
5. MEMBERS – check one:
The corporation WILL have members.
The corporation WILL NOT have members.
6.
MEMBERSHIP INTERESTS – Was the corporation authorized in its foreign domicile to issue
shares? Check one:
Yes ---
and all interests formerly designated as shares are hereby designated as
membership interests. (Note – if you check “yes” then “will have members” must be checked in
number 5.)
No
7.
ARIZONA KNOWN PLACE OF BUSINESS ADDRESS:
7.1
Is the Arizona known place of business address the same as the street address of the
statutory agent?
Yes – go to number 8 and continue
No –
go to number 7.2 and continue
7.2
If you answered “No” to number 7.1, give the physical or street address (not a P.O.
Box) of the known place of business of the corporation in Arizona:
Attention (optional)
Address 1
Address 2 (optional)
City
Zip
State or
Province
Country
C021.001
Arizona Corporation Commission – Corporations Division
Rev: 2010
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